Individual
MRS. CONNIE BETH AMMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4557 TECHNOLOGY DR, SUITE 1, WILMINGTON, NC 28405-2171
(910) 233-0730
Mailing address
6612 DORRINGTON DR, WILMINGTON, NC 28412-3085
(910) 793-8753
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3947
NC
Other
Enumeration date
09/30/2007
Last updated
01/13/2009
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